Journal of Youth and Adolescence

, Volume 34, Issue 3, pp 199–205 | Cite as

Academic Achievement and the Self-Image of Adolescents with Diabetes Mellitus Type-1 and Rheumatoid Arthritis



A total of 69 adolescents, 21 with diabetes mellitus type-1 (DM), 24 with rheumatoid arthritis (RA), and 24 controls matched for sex, age, social background, and living environment, were compared by means of their school grades and the Offer Self-Image Questionnaire. The ages of the children at the time of the diagnosis of the disease and its subsequent duration were the same in the DM and the RA groups. Results show that the academic achievement of adolescents with DM who are well balanced and adolescents with RA with mild or moderate symptoms are equal to those of their healthy peers. In the OSIQ scales there were no statistically significant differences between the groups. In the groups of controls, there were more significant correlations between the OSIQ scores and the school grades than those with the DM or RA adolescents. The direction was positive. The correlations of the 3 groups did not differ significantly from each other. In case of adolescents with various kinds of chronic diseases, it is important to support their motivation for learning and planning the future.


chronic disease diabetes mellitus rheumatoid arthritis self-image academic achievement 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Aasland, A., and Diseth, T. H. (1999). Can the Harter Self-Perception Profile for Adolescents (SPPA) be used as an indicator of psychosocial outcome in adolescents with chronic physical disorders? Eur. Child Adolesc. Psychiatry 8: 78–85.CrossRefPubMedGoogle Scholar
  2. Bartholomew, L. K., Koenning, G., Dahlquist, L., and Barron, K. (1994). An educational needs assessment of children with juvenile rheumatoid arthritis. Arthritis Care Res. 7: 136–143.PubMedGoogle Scholar
  3. Boeger, A., and Seiffge-Krenke, I. (1994). Symptombelastung, Selbstkonzept und Entwicklungsverzoegerung bei gesunden und chronisch kranken Jugendlichen mit Typ-1-Diabetes./Psychopathology, self-concept, and psychosocial development in chronically ill adolescents with type 1 diabetes and healthy controls. Z. Kinder. Jugendpsychiatr. 22: 5–15.PubMedGoogle Scholar
  4. Boeger, A., Seiffge-Krenke, I., and Roth, M. (1996). Symptombelastung, Selbstkonzept und Entwicklungsverzoegerung bei gesunden und chronisch kranken Jugendlichen: Ergebnisse einer 4 1/2 jaehrigen Laengsschnittstudie. Z. Kinder. Jugendpsychiatr. 24: 231– 239.Google Scholar
  5. Brook, U., and Tepper, I. (1996). Self image, coping and familial interaction among asthmatic children in Israel. Patient Educ. Couns. 30: 187–192.CrossRefGoogle Scholar
  6. Crawford, S. G., Kaplan, B. J., and Field, L. L. (1995). Absence of an association between insulin-dependent diabetes mellitus and developmental learning difficulties. Hereditas 122: 73–78.CrossRefPubMedGoogle Scholar
  7. Cuneo, K. M., and Schiaffino, K. M. (2002). Adolescent self-perceptions of adjustment to childhood arthritis: The influence of disease activity, family resources, and parent adjustment. J. Adolesc. Health 31: 363–371.CrossRefPubMedGoogle Scholar
  8. Eiser, C., and Berrenberg, J. L. (1995). Assessing the impact of chronic disease on the relationship between parents and their adolescents. J. Psychosom. Res. 39: 109–114CrossRefPubMedGoogle Scholar
  9. Erkolahti, R., Ilonen, T., and Saarijärvi, S. (2003). Self-image of adolescents with diabetes mellitus type-1 and rheumatoid arthritis. Nord. J. Psychiatry 57: 309–312.CrossRefPubMedGoogle Scholar
  10. Fowler, M. G., Johnson, M. P., and Atkinson, S. S. (1985). School achievement and absence in children with chronic health conditions. J. Pediatr. 106: 683–687.PubMedGoogle Scholar
  11. Hu, Y., Kantawang, S., and Yang, Y. (1999). Selected factors influencing self-concept among hospitalized Chinese school-age children with a chronic illness. Int. J. Nurs. Pract. 5: 38–46.CrossRefPubMedGoogle Scholar
  12. Kaufman, F. R., Epport, K., Engilman, R., and Halvorson, M. (1999). Neurocognitive functioning in children diagnosed with diabetes before age 10 years. J. Diabetes Complications 13: 31– 38.CrossRefPubMedGoogle Scholar
  13. Laukkanen, E., Halonen, P., Aivio, A., Viinamäki, H., and Lehtonen, J. (2000). Construct validity of the Offer Self-Image Questionnaire in Finnish 13-year-old adolescents: Differences in the self-images of boys and girls. Nord. J. Psychiatry 54: 431–435.Google Scholar
  14. LeBovidge, J. S., Lavigne, J. V., Donenberg, G. R., and Miller, M. L. (2003). Psychological adjustment of children and adolescents with chronic arthritis: A meta-analytic review. J. Pediatr. Psychol. 28: 29–39.PubMedGoogle Scholar
  15. McCarthy, A. M., Lindgren, S., Mengeling, M. A., Tsalikian, E., and Engvall, J. (2002). Effects of diabetes on learning in children. Pediatrics 109: E9.CrossRefPubMedGoogle Scholar
  16. Morton, M. J. S., Reynolds, J. M., Garralda, M. E., Postlethwaite, R. J., and Goh, D. (1994). Psychiatric adjustment in end-stage renal disease. A follow-up study of former paediatric patients. J. Psychosom. Res. 38: 293–303.CrossRefPubMedGoogle Scholar
  17. Offer, D., Ostrov, E., Howard, K. I., and Dolan, S. (1989). The Offer Self-Image Questionnaire for Adolescents: A Manual ed 4. Center for the Study of Adolescence, Chicago, Illinois (Michael Reese Hospital).Google Scholar
  18. Offer, D., Ostrov, E., Howard, K. J., and Dolan, S. (1992). Offer Self-Image Questionnaire, Revised. Western Psychological Services, Los Angeles, CA.Google Scholar
  19. Offer, D., Ostrov, J. D., Howard, K. I., and Atkinson, R. (1988). The Teenage World: Adolescent Self-Image in Ten Countries. Plenum, New York.Google Scholar
  20. Petersen, A. C., Schulenberg, J. E., Abramowitz, R. H., Offer, D., and Jarcho, H. D. (1984). The Self-Image Questionnaire for young adolescents (SIQYA): Reliability and validity studies. J. Youth Adolesc. 13: 93–111.Google Scholar
  21. Reiff, M. I. (1998). Adolescent school failure: Failure to thrive in adolescence. Pediatr. Rev. 19: 1999–1207.Google Scholar
  22. Reiter-Purtill, J., Gerhardt, C. A., Vannatta, K., Passo, M. H., and Noll, R. B. (2003). A controlled longitudinal study of the social functioning of children with juvenile rheumatoid arthritis. J. Pediatr. Psychol. 28: 17–28.CrossRefPubMedGoogle Scholar
  23. Sawyer, S. M., Rosier, M. J., Phelan, P. D., and Bowes, G. (1995). The self-image of adolescents with cystic fibrosis. J. Adolesc. Health 16: 204–208.CrossRefPubMedGoogle Scholar
  24. Seiffge-Krenke, I. (1998). Chronic disease and perceived developmental progression in adolescence. Dev. Psychol. 34: 1073–1084.CrossRefPubMedGoogle Scholar
  25. Stern, M., Norman, S. L., and Zevon, M. A. (1993). Adolescents with cancer: Self-Image and perceived social support as indexes of adaptation. J. Adolesc. Res. 8: 124–142.Google Scholar
  26. Sturge, C., Garralda, M. E., Boissin, M., Dore, C. J., and Woo, P. (1997). School attendance and juvenile chronic arthritis. Br. J. Rheumatol. 36: 1218–1223.CrossRefPubMedGoogle Scholar
  27. Wong, E. H., Wiest, D. J., and Cusick, L. B. (2002). Perception of autonomy support, parent attachment, competence and self-worth as predictors of motivational orientation and academic achievement: An examination of sixth- and ninth-grade regular education students. Adolescence 37: 255–266.PubMedGoogle Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Adolescent Psychiatry ClinicTurku University HospitalTurkuFinland

Personalised recommendations